Provider Demographics
NPI:1376581033
Name:WALTER SCHWARTZ ASSOCIATES PC
Entity Type:Organization
Organization Name:WALTER SCHWARTZ ASSOCIATES PC
Other - Org Name:PAIN CONTROL CENTER OF DELAWARECOUNTY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:WALTER
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHWARTZ
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:610-604-4800
Mailing Address - Street 1:891 BALTIMORE PIKE
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:PA
Mailing Address - Zip Code:19064-3954
Mailing Address - Country:US
Mailing Address - Phone:610-604-4800
Mailing Address - Fax:610-604-4815
Practice Address - Street 1:891 BALTIMORE PIKE
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:PA
Practice Address - Zip Code:19064-3954
Practice Address - Country:US
Practice Address - Phone:610-604-4800
Practice Address - Fax:610-604-4815
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-03
Last Update Date:2009-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS001131L207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAB96604Medicare UPIN